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Individual

MR. DAVID A DERIEMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4647 ZION AVE, DEPT OF ANESTHESIOLOGY, KAISER PERMANENTE HOSPITAL, SAN DIEGO, CA 92120-2507
(619) 528-7660
Mailing address
4647 ZION AVE, DEPT OF ANESTHESIOLOGY, KAISER PERMANENTE HOSPITAL, SAN DIEGO, CA 92120-2507
(619) 528-7660

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8462
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050057040
RR MEDIAN
NV
05
2013060
NV
01
NV1301
BLUE CROSS
NV
Enumeration date
08/31/2006
Last updated
12/01/2021
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